A 12-year-old female who presented with left upper eyelid swelling, pain and proptosis of left eye who was found to have evidence of panophthalmitis and superior orbital abscess. Soon after orbital abscess drainage, patient’s upper eyelid swelling and diplopia resolved. Repeat CT-scan revealed evidence of the treated sinusitis as well as orbital abscess. Prior to discharge the patient complained of nausea, vomiting and lethargy. Repeat imaging studies CT-scan and MRI of orbits and brain revealed a sudural empyema and meningitis for which she was treated successfully | Chaudhry, I. A., Al-Rashed, W., & Arat, Y. O. (2012). The hot orbit: orbital cellulitis. Middle East African Journal of Ophthalmology, 19(1), 34–42.

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